Individual provider Active NPI

Jeremy Ashton Scarlett, MD

  • Pain Medicine (Anesthesiology) Physician
  • Sheboygan, WI
National Provider Identifier
1992737589
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
51385-020 Issued in WI
Practice address
2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174
Phone
(920) 204-6758
Fax
(888) 720-0495
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 51385-020 WI
Pain Medicine (Anesthesiology) Physician 207LP2900X 51385-020 WI Primary

Addresses

Primary practice location

2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174

Mailing address

Dept CH 17057
Palatine, IL 60055-7057
Phone (920) 204-6758

Other identifiers 2

IdentifierTypeStateIssuer
35113200MedicaidWI
201011103MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jscarlett12090@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081128000109 WI Practitioner - Pain ManagementPractitioner - AnesthesiologyPractitioner - Interventional Pain Management 7911902663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology, Interventional Pain Management
Education
University of Michigan Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Spine and Pain SCGroup PAC ID 0345665469, 19 clinicians

Practice addresses (Care Compare)

1000 Gateway CT
Suite 100
West Bend, WI 53095-8541
Phone (414) 455-1153

1249 W Liebau Rd
Suite 200
Mequon, WI 53092-3398
Phone (833) 821-7246

2124 Kohler Memorial Dr
Suite 110
Sheboygan, WI 53081-3169

2124 Kohler Memorial Dr
Suite 110
Sheboygan, WI 53081-3174
Phone (414) 455-1153

Hospital & facility affiliations

  • St Nicholas Hospital Hospital, Sheboygan, WI, CCN 520044
  • Froedtert Memorial Lutheran Hospital Hospital, Milwaukee, WI, CCN 520177
  • Aurora Medical Ctr Manitowoc County Hospital, Two Rivers, WI, CCN 520034
  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051

Merit-based Incentive Payment System (MIPS)

Final score
89.02 of 100Reported as group
Quality
82.89
Improvement activities
40
Cost
74.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51385-020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management, SC CurrentSince Nov 15, 2016 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Oct 1, 2020 Accepting new patients
Advanced Pain Management SC CurrentSince Nov 15, 2016 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Oct 1, 2020 Accepting new patients
Madison Surgicenter LLC Past Accepting new patients
Advanced Pain Treatment of Chicago SC PastSince Sep 1, 2020 Accepting new patients
Spine Solutions of Green Bay LLC PastSince Sep 1, 2024 Accepting new patients
Spine Solutions of West Bend LLC PastSince Sep 1, 2024 Accepting new patients

Locations

Dept CH 17057
Palatine, IL 60055

1616 N Casaloma Dr
#100
Appleton, WI 54913

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246

1249 W Liebau Rd
Ste 200
Mequon, WI 53092
Phone (833) 821-7246

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

4216 S Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 598-7246

2124 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 452-7246

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

2124 Kohler Memorial Dr
Ste 100
Sheboygan, WI 53081
Phone (920) 452-7246

N14W23800 Stone Ridge Dr
Ste 120
Waukesha, WI 53188

2607 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 446-9981

959 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 955-7246

1000 Gateway Ct
Ste 100
West Bend, WI 53095

1000 Gateway Ct
Ste 200
West Bend, WI 53095

Interoperability endpoints

  • Direct secure messaging: jscarlettmd32297@direct.froedtert.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1992737589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT CH 17057",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600557057",
            "telephone_number": "920-204-6758",
            "fax_number": "888-720-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 KOHLER MEMORIAL DR STE 110",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813174",
            "telephone_number": "920-204-6758",
            "fax_number": "888-720-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLETT",
        "first_name": "JEREMY",
        "middle_name": "ASHTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "51385-020",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "51385-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35113200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201011103",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jscarlett12090@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2124 Kohler Memorial Dr Ste 110",
            "city": "Sheboygan",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530813174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.